Fill and Sign the Unto Hereinafter Grantee the Following Lands and Property Form

- Quitclaim Deed - Page 1 - This document prepared by (and after recording return to): Name: Firm/Company: Address: Address 2: City, State, Zip: Phone: ) )))))))))--------Above This Line Reserved For Official Use Only------------- QUITCLAIM DEED (Husband and Wife to an Individual) KNOW ALL MEN BY THESE PRESENTS THAT: FOR VALUABLE CONSIDERATION OF TEN DOLLARS ($10.00), and other good and valuable consideration, cash in hand paid, the receipt and sufficiency of which is hereby acknowledged, ______________________________ and ______________________________ , Husband and Wife, hereinafter referred to as “Grantors”, do hereby remise, release, and convey, with all qui tclaim covenants, unto ______________________________ , hereinafter “Grantee”, the following lands and property, together with all improvements located thereon, lying in the County of ______________________, State of Rhode Island, to-wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Prior instrument reference: Book ______, Page ______, Document No. ______, of the Recorder of ______________________ County, Rhode Island. LESS AND EXCEPT all oil, gas and minerals, on and under the above described property owned by Grantors, if any, which are reserved by Grantors. SUBJECT to all easements, rights-of-way, protective covenants and mineral reservations of record, if any. TO HAVE AND TO HOLD same unto Grantee, and unto Grantee’s assigns forever, with all appurtenances thereunto belonging. The Grantors do hereby covenant that they are residents of the State of Rhode Island in compliance with R.I.G.L. Section 44-30-71.3. The Grantors do hereby certify that Grantors have complied with the requirements of the smoke detector law, R.I.G.L. Section 23-28.35-1 et. seq., as evidenced by the copy of the smoke detector certificate attached hereto. - Quitclaim Deed - Page 2 - WITNESS Grantor(s) hand(s) this the ____ day of ________________, 20____. __________________________________ Grantor {Type Name} __________________________________ Grantor {Type Name} STATE OF ____________________ COUNTY OF ____________________ In __________________________, in said County on the _________ day of ______________________________________, _________, before me personally appeared ______________________________________, each and all to me known, and know by me to be the party(ies) executing the foregoing instrument; and ______________________________________ acknowledged said instrument, by him/her/they executed, to be his/her/their free act and deed. ______________________________ Notary Public Printed Name: ___________________ My Commission Expires: ____________________ Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE